Alliance School of Business

ALLIANCE

UNIVERSITY
Alliance School of Business

Chikkahagade Cross
Chandapura-Anekal Main Road
Anekal, Bangalore - 562 106, Karnataka, India
Tel.: +91 80 30938000/1/2/3/4
www.bus.alliance.edu.in

Application Form

Course:
Year:

Month:

Applicants information
Name:
Gender:

Date of Birth:
(dd/mm/yyyy)

/
Affix photograph

Blood Group:
Category:

SC

ST

Others

Nationality:

Indian

NRI

Foreign National (Citizenship)

Applicants contact details for correspondence

Address:

Country:

State:

Pincode:
Tel.: (Residence)
(with STD/ISD code)

Mobile:
Alternative E-mail:

E-mail:

Parents contact details

Father

Mother

Name:
Occupation:
Organization:
Designation:
E-mail:
Mobile:
Residential Address:

Pincode:
Telephone: (Office)
(with STD/ISD code)

Country:

State:
(Residence)

Other professional
qualifications

XII

Bachelors degree
(please specify)

Postgraduate degree
(if any, please specify)

Name of
Examination/Degree

Name of the
Institution

Educational qualifications
Name of University/Board

Year of
State passing

Ag

gre

gat

VIII

Correspondence

Part time

Full time

Correspondence

Part time

Full time

Correspondence

Part time

Full time

Correspondence

VI
VII

Part time

Correspondence

Part time

Full time

Mode of study

Full time

Main subjects

IV

III

II

Percentage
Year/Semester

Aptitude test scores

GMAT/CAT/XAT/MAT/CMAT/ATMA/KMAT
Test

Date

Percentile

Statement of purpose
a.

What motivates you to apply to the Alliance School of Business?

b.

What is your career vision and why is this choice meaningful to you?

Composite score

Employment history

(Please give your full-time employment history to date or other relevant professional experience)

Work experience

Name and address of the organization

From

To

Do you need hostel accommodation?

Designation and responsibilities

In months

Yes

No

Declaration
1.

I have read and understood the full requirements of the course, eligibility criteria, terms and conditions and other
important information as indicated in the Prospectus.

2.

I confirm that the information furnished by me in this Application Form is true to the best of my knowledge. I understand
that any false or misleading statement given by me may lead to the cancellation of admission or expulsion from the
course at any stage.

3.

I undertake to abide by the rules and regulations of the Alliance School of Business as prescribed from time to time. If I
violate at any point of time any of the stipulated rules and regulations, then Alliance University is free to initiate
appropriate disciplinary action against me.

Signature:

Date:

Application fee
Enclose along with your filled-in application form a non-refundable processing fee of `1,000/- (`2,000/- for NRI and
SAARC national applicants and US$50 for other foreign national applicants) in the form of a
crossed demand draft in favour of Alliance University payable at Bangalore.

Checklist
1. Copies of the following documents:

2. Application Form fee

X mark sheet/transcript

Indian Nationals `1,000/-

XII mark sheet/transcript

NRI/SAARC Nationals `2,000/Foreign Nationals US$50

Bachelors degree mark sheets (available as on date)

Postgraduate degree mark sheets (if any)
Work experience certificates (if any)
Entrance exam score card
(GMAT/CAT/XAT/MAT/CMAT/ATMA/KMAT, etc.)

DD No.:
Date:
Bank: